Teams at Point C

Process and adjudicate medical claims for a TPA, manage inventory and appeals, ensure compliance with plan documents and stop-loss terms, resolve subrogation/third-party liability, respond to inquiries, and meet production, financial, and accuracy standards.

Lead enterprise-wide Zendesk configuration and roadmap: translate stakeholder needs into platform enhancements, manage integrations, roles, permissions, reporting, vendor relationships, rollout, training, and ongoing support to optimize service operations across Claims, Client Services, and Account Management.

The Manager, Payment Operations oversees payment processes, ensures compliance, manages vendor relationships, and drives operational efficiency and automation strategies.